173x Filetype PDF File size 0.32 MB Source: www.state.nj.us
General Letter of Authorization for Vehicle Transactions THIS FORM GIVES THE INDIVIDUAL IDENTIFIED BELOW PERMISSION TO PROCESS THE FOLLOWING TRANSACTION(S). FORMS AND/OR DOCUMENTS MUST BE FILLED OUT AND SIGNED BY THE OWNER PRIOR TO PROCESSING. THE AUTHORIZED INDIVIDUAL IS REQUIRED TO SHOW PROOF OF IDENTIFICATION AND MUST SUBMIT A COPY OF THE OWNER'S ID OR DRIVER LICENSE FOR VERIFICATION. THIS FORM DOES NOT GRANT "POWER OF ATTORNEY" AND DOES NOT GIVE THE NAMED INDIVIDUAL THE AUTHORITY TO SIGN DOCUMENTS FOR THE OWNER OF THE VEHICLE/VESSEL. IMPORTANT: PHOTOCOPIES OF THIS FORM ARE NOT ACCEPTABLE. MUST BE ORIGINAL SIGNATURE. *COMPANY AUTHORIZATION SHOULD BE ON OFFICIAL COMPANY LETTERHEAD WITH A NOTARIZED SIGNATURE OF THE OWNER/AUTHORIZED INDIVIDUAL OF THE COMPANY GRANTING AUTHORIZATION. ALL RELATED FORMS/DOCUMENTS SHOULD BE SIGNED BY THE SAME OWNER/ AUTHORIZED INDIVIDUAL. I, _________________________________, hereby authorize the following individual to process the listed vehicle/vessel transaction(s). Owner’s Printed Name Authorized Individual: Name: __________________________________________________ Driver License Number: ________________________________________ Vehicle/Vessel Information: Select one: Vehicle Vessel __________ __________ __________ ______________________________ Year Make Model VIN/HIN Number Select one: Vehicle Vessel __________ __________ __________ ______________________________ Year Make Model VIN/HIN Number Select one: Vehicle Vessel __________ __________ __________ ______________________________ Year Make Model VIN/HIN Number Select one: Vehicle Vessel __________ __________ __________ ______________________________ Year Make Model VIN/HIN Number Transaction Type(s): CHECK ALL THAT APPLY Title (Vehicle/Vessel): Initial Replacement Duplicate Correction Transfer Registration: Initial Replacement Duplicate Correction Transfer Other: _______________________________________________________________________________________ ___________________________________________ ___________________________________________ Owner’s Signature (Original Signature Only) Authorized Individual’s Signature (Original Signature Only) Motor Vehicle Commission Use Only: Owner Name and ID or Driver License Verification Authorized Individual Name and ID/driver License Verification Owner Transaction/Vehicle Information Visit us at www.NJMVC.gov New Jersey is an Equal Opportunity Employer LOA1
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